Cesarean Delivery

Though arguably one of the greatest obstetric interventions to reduce perinatal morbidity and mortality, cesarean delivery (CD) is not without its risks. Increased maternal morbidity and mortality, as well as neonatal morbidity, is associated with CD when compared to vaginal delivery. However, these data are biased in that women with fetal or maternal indications for CD may already be at increased risk for morbidity and mortality. Methods to minimize unnecessary cesarean deliveries by thoroughly reviewing the indications for primary CD as well as encouraging trial of labor after prior cesarean when appropriate are needed. Additionally, strategies to improve maternal recovery and decrease morbidity at the time of CD, such as enhanced recovery after cesarean, are emphasized as an additional opportunity to improve maternal and neonatal outcomes.